Influence of doula delivery on postpartum depression in puerperae: a meta-analysis_Chinese Journal of Evidence-Based Medicine

Authors：

GONG Shangqun ¹ , FAN Yinping ¹ , LI Luqi ¹ ,  MENG Fanjie ²

1. Graduate School, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;
2. Department of Teacher Development and Evaluation, Tianjin University of Traditional Chinese Medicine, Tianjin, 300193, P.R.China;

Corresponding author：

MENG Fanjie, Email: mfj127@tjutcm.edu.cn

Keywords：

Doula delivery; Depression; Meta-analysis; Randomized controlled trial; SDS score; Systematic review

DOI：

10.7507/1672-2531.201703053

Video：

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ObjectiveTo systematically review the effect of doula delivery on postpartum depression.MethodsWe searched The Cochrane Library, Web of Science, PubMed, EMbase, CBM, CNKI and WanFang Data databases to collect relevant randomized controlled trials (RCTs) about the effect of doula delivery on postpartum depression from inception to March 24^th, 2017. Two reviewers independently screened literatures, extracted data and assessed the risk of bias of included studies. Then, meta-analysis was performed by using RevMan 5.3 software.ResultsA total of 19 RCTs involving 10 921 participants were included. The results of meta-analysis showed that the doula delivery could reduce the incidence of postpartum depression (RR=0.36, 95%CI 0.29 to 0.46, P<0.001), and SDS score in doula delivery group was superior to that in the control group (MD=–7.37, 95%CI –11.01 to –3.72, P<0.001).ConclusionThe current evidence shows that doula delivery can reduce the incidence of postpartum depression. Due to the limited quantity and quality of included studies, the above conclusion is still needed to be verified by more high quality studies.

Citation： GONG Shangqun, FAN Yinping, LI Luqi, MENG Fanjie. Influence of doula delivery on postpartum depression in puerperae: a meta-analysis. Chinese Journal of Evidence-Based Medicine, 2017, 17(9): 1037-1042. doi: 10.7507/1672-2531.201703053 Copy

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2.	陆丽, 代莉, 刘岚, 等. 导乐分娩对预防初产妇产后抑郁发生的影响. 护理实践与研究, 2013, 10(6): 23-25.
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12.	朱红霞. 导乐陪伴分娩对产后抑郁的影响. 医药前沿, 2014, (1): 159-160.
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14.	李转珍, 王朝娟, 史素玲. 导乐陪伴分娩对孕产妇的干预效果. 护理学杂志, 2003, 18(5): 380-381.
15.	杨志华, 郑丽玲. 导乐分娩对初产妇分娩及产后心理状态的影响. 齐齐哈尔医学院学报, 2015, 36(15): 2336-2337.
16.	林海丽, 于亚晶, 赵静, 等. 对初产妇进行导乐分娩护理的效果研究. 中国卫生标准管理, 2015, 6(10): 121-122, 123.
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20.	邬君芳, 穆万丹. 导乐分娩对产妇抑郁症的影响及临床护理观察. 世界临床医学, 2015, 9(6): 248, 238.
21.	金艳红. 导乐陪伴分娩50例临床效果分析. 中国现代实用医学杂志, 2006, 5(1): 77-78.
22.	陈玲. 导乐陪伴分娩对产后抑郁的影响. 医药前沿, 2016, 6(32): 81-82.
23.	黄向清. 导乐分娩在初产妇产后抑郁预防中的应用效果. 家庭心理医生, 2014, 10(8): 309.
24.	王春梅. 导乐陪伴分娩的相关研究进展. 当代护士(下旬刊), 2016, (4): 8-10.
25.	袁华. 全程导乐陪伴分娩对初产妇产后抑郁、焦虑情绪的影响. 中国医科大学学报, 2013, 42(10): 937-939.

1. 袁华. 全程导乐陪伴分娩对初产妇产后抑郁、焦虑情绪的影响. 中国医科大学学报, 2013, 42(10): 937-939.
2. 陆丽, 代莉, 刘岚, 等. 导乐分娩对预防初产妇产后抑郁发生的影响. 护理实践与研究, 2013, 10(6): 23-25.
3. Kennell J, Klaus M, McGrath S, et al. Continuous emotional support during labor in a US hospital. A randomized controlled trial. JAMA, 1991, 265(17): 2197-2201.
4. Higgins JPT, Green S. Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0. The Cochrane Collaboration, 2011. Available at: http://www.cochrane-handbook.org.
5. Hodnett ED, Lowe NK, Hannah ME, et al. Effectiveness of nurses as providers of birth labor support in North American hospitals: a randomized controlled trial. JAMA, 2002, 288(11): 1373.
6. 刘丽, 段颖欣, 王蕊. 临床应用导乐分娩对初产妇心理的影响. 中国健康心理学杂志, 2014, 22(9): 1331-1332.
7. 刘玲. 导乐分娩对预防初产妇产后抑郁发生的影响分析. 2015临床急重症经验交流第二次高峰论坛. 武汉: 2015.
8. 吴霞, 徐润华, 薛花. 全程陪伴导乐分娩对产妇分娩方式、出血量、新生儿评分及分娩结局的影响. 国际护理学杂志, 2015, 34(9): 1175-1177.
9. 尹江琴, 邵彩华, 闫华. 导乐分娩对初产妇分娩及产后心理状态的影响. 新疆医科大学学报, 2011, 34(9): 1033-1036.
10. 张莉. 导乐分娩与产后抑郁症的直接或间接关系. 医学信息, 2015, 28(5): 288.
11. 彭婉仪, 汤艳请, 黎彩银, 等. 导乐陪伴分娩可改善初产妇产后抑郁情绪. 实用医技杂志, 2006, 13(10): 1743-1744.
12. 朱红霞. 导乐陪伴分娩对产后抑郁的影响. 医药前沿, 2014, (1): 159-160.
13. 李娟, 杨慎启. 导乐陪伴分娩对产妇的影响. 济宁医学院学报, 2007, 30 (1): 52-53.
14. 李转珍, 王朝娟, 史素玲. 导乐陪伴分娩对孕产妇的干预效果. 护理学杂志, 2003, 18(5): 380-381.
15. 杨志华, 郑丽玲. 导乐分娩对初产妇分娩及产后心理状态的影响. 齐齐哈尔医学院学报, 2015, 36(15): 2336-2337.
16. 林海丽, 于亚晶, 赵静, 等. 对初产妇进行导乐分娩护理的效果研究. 中国卫生标准管理, 2015, 6(10): 121-122, 123.
17. 段红云. 导乐陪伴分娩对初产妇产后抑郁症的影响. 中国实用神经疾病杂志, 2012, 15(16): 52-53.
18. 罗新娥. 全程导乐陪伴分娩对产后抑郁症发病的影响. 现代养生B, 2015, (1): 206-207.
19. 赵丽娟. 全程陪伴导乐分娩对孕产妇及新生儿的影响. 中国城乡企业卫生, 2015, (5): 150-151.
20. 邬君芳, 穆万丹. 导乐分娩对产妇抑郁症的影响及临床护理观察. 世界临床医学, 2015, 9(6): 248, 238.
21. 金艳红. 导乐陪伴分娩50例临床效果分析. 中国现代实用医学杂志, 2006, 5(1): 77-78.
22. 陈玲. 导乐陪伴分娩对产后抑郁的影响. 医药前沿, 2016, 6(32): 81-82.
23. 黄向清. 导乐分娩在初产妇产后抑郁预防中的应用效果. 家庭心理医生, 2014, 10(8): 309.
24. 王春梅. 导乐陪伴分娩的相关研究进展. 当代护士(下旬刊), 2016, (4): 8-10.
25. 袁华. 全程导乐陪伴分娩对初产妇产后抑郁、焦虑情绪的影响. 中国医科大学学报, 2013, 42(10): 937-939.

Chinese Journal of Evidence-Based Medicine

Influence of doula delivery on postpartum depression in puerperae: a meta-analysis

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